In order to calculate how much to send for the mold, add the amount of the mold, plus $7.50 postage,

For International Orders add $32.00 for one mold; $35.00 for two molds.

add $1.50 is you want the postal insurance for your total.

Florida residents must add an additional 7% sales tax.


Order Form

Name: ________________________________________________________________

Address: ______________________________________________________________

____________________________________________________________________

City, State, Zip: _________________________________________________________

Email: ________________________________________________________________

Phone: _______________________________________________________________

Mold(s) you are ordering: _________________________________________________

Total amount enclosed: ___________________________________________________


Please send that check or money order to:

Regina Edmonds, White Gothic Studios, 4890 NW 13th Terrace, Pompano Beach, FL 33064

Phone/Fax: 954-420-5120

Email: fairy111@bellsouth.net

Website: www.whitegothic.com

or www.pushmolds.com


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